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Intraosseous access is commonly established during resuscitation in children and adults for administering drugs and fluid. Intraosseous samples can be used for laboratory testing to guide resuscitation, but laboratories might refuse to analyze them due to concerns about damage to equipment. Investigators in the Netherlands used an i-STAT point-of-care analyzer to compare blood gas, electrolyte, and glucose measurements in intraosseous and venous samples obtained from 20 children (age range, 1.5 to 16.2 years) undergoing anterior iliac crest diagnostic bone marrow aspiration.
Two mL of intraosseous aspirate were discarded before testing. The mean differences between intraosseous and venous measurements were deemed clinically acceptable for pH…